Application For Coaching

Ready to integrate high consciousness living into your daily life? Your next step is to fill out this form and book an alignment call with me (instructions at the end of this form). I will contact you within 24 hours. If you don’t hear. back, please check your spam folder.

Read more about my 1:1 coaching program HERE.

Name

First Name

Last Name

Tell me a little bit about yourself. Where are you currently at in your life?

What would you like to achieve from working with me as your coach?

This is a 6 month program where we meet bi-weekly for private sessions. In-between our sessions, you will work through modules and workbooks at your own pace. On a scale of 1-10, how ready are you for a 6 month transformational journey (10 being as ready as you'll ever be)? Please explain the level of commitment you are ready to devote to this program.

Do you have the financial resources available to invest in coaching right now? My current package is $3000 or 6x monthly payments of $500 (USD)

I am ready! I would like to pay in full

I am ready! I would like to utilize the monthly payment plan

I want to do this... but I feel nervous to invest in myself like this

Thank you for submitting your answers as these will help us get aligned before our call. Is there anything else you'd like to share about your journey with psychedelics?

Thank you! Your next step is to book an alignment call with me using the following link: https://calendly.com/lanapribic/hello

Got it! I will do that now.

What is your desired start date?

YYYY

How did you find out about my coaching program?

Application for Coaching

Modern Psychedelics

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